Transcript CRITICAL THINKING in Nursing Practice: chapter 14
CRITICAL THINKING in Nursing Practice: chapter 14
“…active, organized, cognitive process used to carefully examine one’s thinking and the thinking of others.” Involves use of MIND Form conclusions Make decisions Draw inferences reflect
BEGIN WITH:
Questions:
What
do I
really know
nursing care situation?
about this
How
do I know it?
What options are available to me?
THREE INPORTANT ASPECTS
REFLECTION: purposefully thinking back /recalling. Requires honest review LANGUAGE: precise & clear resulting in clear message INTUITION: inner sensing that something is so
THINKING AND LEARNING
LIFELONG PROCESS
NURSING PRACTICE
ALWAYS
CHANGING
LEVELS OF CRITICAL THINKING IN NURSING
BASIC – CONCRETE, BASED ON SET OF RULES OR PRINCIPLES
COMPLEX: “IT DEPENDS”
COMMITMENT: CHOOSE AN ACTION & STAND BY IT
CRITICAL THINKING COMPETENCIES
Scientific method Problem solving Diagnostic reasoning and inference Decision making Clinical decision making
‘NURSES DO NOT MAKE MEDICAL DIAGNOSES, BUT THEY DO ASSESS AND MONITOR CLIENTS CLOSELY AND COMPARE THE CLIENTS’ SIGNS AND SYMPTOMS WITH THOSE THAT ARE COMMON TO A MEDICAL DIAGNOSIS.”
Nursing process
as a competency
Five steps: Assessment Diagnosis Planning Implementation Evaluation
SYSTEMATIC APPROACH
GATHER DATA
CRITICALLY EXAMINE & ANALYZE
IDENTIFY RESPONSE
DETERMINE PRIORITY
ESTABLISH GOALS & EXPECTED OUTCOMES
TAKE ACTION
EVALUATE
Critical thinking model, five components: Knowledge base
Attitudes
standards
Experience Competence
ATTITUDES FOR Critical Thinking Confidence Thinking independently Fairness Responsibility & accountability Risk taking Discipline Perseverance Creativity Curiosity Integrity Humility
STANDARDS
Intellectual standards: preciseness, accuracy, consistency Professional standards: ethical criteria, scientific & practice-based criteria, criteria for professional responsibility “These standards “raise the bar” for the responsibilities and accountabilities that a nurse must assume in guaranteeing quality health care to the public.”